MIDTERM UNIT TEST

• Assymetry


  Patient She presents with a pigmented lesion that appears different on one half compared to the other when visually divided through the center. This observation is most relevant to which component of the ABCDE criteria for melanoma?
• Border Irregularity


  During a skin examination, nurse Rhine notices a lesion with jagged, notched, and poorly defined edges. Which feature of the ABCDE criteria for melanoma does this primarily represent?
• Color Variation


  A 40-year-old patient has a mole that displays shades of tan, brown, black, red, white, and blue within the same lesion. This finding is most concerning for which aspect of the ABCDE criteria for melanoma?
• A normal variation due to aging


  Nurse Yeye is assessing an older adult patient and observes a decrease in hair production and increased hair coarseness. This finding is:
• Acrocyanosis


  Nurse Tim observes bluish discoloration of the newborn's hands and feet. The nurse would document this finding as:
• Onycholysis


  A nurse is assessing a patient with a suspected fungal infection of the toenail. Which assessment finding would be most consistent with this diagnosis?
• Melanoma


  A dermatology client is concerned about a mole. Nurse Shieka assesses the mole and notes the following characteristics: asymmetrical, irregular border, blue-black color, and a diameter greater than 0.6 cm. Nurse Shieka recognizes that these are the ABCDs of:
• Lichenification


  Patient Karl is admitted to the medical-surgical unit. During the skin assessment, the nurse notes dry, thickened skin with horizontal fissures on the patient's elbows and knees. Patient Karl reports intense itching. The nurse would document this finding as:
• Tachypnea


  A nurse is performing a thorax assessment and observes that the patient has an increased respiratory rate of 27 breaths per minute. The nurse would document this finding as:
• Macule


  A nurse is assessing a patient's skin and observes a flat lesion with a color change that is less than 1 cm in diameter. The nurse would document this as a:
• Wheezes


  Nurse Carrieh is auscultating the lungs of a patient with asthma and hears a high-pitched, musical sound during expiration. This finding should be documented as:
• Ulnar or palmar surface of the hand


  Nurse Gladys is assessing a patient for tactile fremitus. The nurse should palpate the chest wall using the:
• Annular


  A nurse is assessing a patient with a skin rash. The nurse observes multiple circular lesions with a raised, red border and central clearing. The nurse would document these findings as:
• Psoriasis


  A nurse is assessing a patient's nails and observes pitting. Which of the following could be a possible cause of this finding?
• Sit upright and move their neck as directed


  During a physical examination, the nurse needs to assess the patient's neck muscles. The nurse should instruct the patient to:
• Corneal light reflex (Hirschberg test)


  During an eye examination, the nurse shines a light on the patient's cornea, and the light is reflected symmetrically in the center of each cornea. This is a normal finding for:
• A normal finding


  A nurse is assessing a patient's extraocular movements. The patient's eyes move smoothly and symmetrically in all six fields of gaze. This is considered:
• Ptosis


  The nurse observes that a patient has drooping of the upper eyelid. The nurse documents this abnormal finding as:
• Pupils equal, round, reative to light, and accomodation


  During an eye assessment, the nurse records the pupils as PERRLA. This abbreviation means:
• External and middle ear


  A patient reports to the nurse that they have been experiencing earaches. The nurse knows that earaches commonly result from disorders of the:
• Left ear


  A patient with a conductive hearing loss in the left ear will hear the sound louder in the:
• In front of the external ear


  A nurse is performing the Rinnes Test. If the patient has normal hearing, they will hear the sound louder:
• Nasopharynx


  The eustachian tube connects the middle ear with the:
• Both food and air


  A patient complains of a sore throat. The nurse knows that the throat, also known as the pharynx, is a muscular passage for:
• Allow for better visualization and access to the chest wall


  Nurse raya is assessing a patient's thorax. The patient is instructed to remove all clothing from the waist up and put on an examination gown. The reason for this instruction is to:
• A ration of anterposterior diameter to transverse diameter of 1:2


  A nurse is examining the shape and configuration of a patient's chest. A normal finding would be:
• Pleural effusion


  A patient is diagnosed with a respiratory condition that involves the accumulation of fluid in the pleural space. The nurse understands that this condition is known as: